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NRNP 6531 Final
• Question 1 0 out of 0 points
When completing this quiz, did you comply with Walden
University’s Code of Conduct including the expectations for
academic integrity?
Selected Answer:
Ye s
Answers:
Ye s No
• Question 2
The most common cancer found on the auricle is:
Selected
Answer: Basal cell carcinoma
Answers: Actinic keratosis
Basal cell carcinoma
Squamous cell carcinoma
Acral-lentiginous melanoma
• Question 3
1 out of 1
points
0 out of 1 points
Which of the following medication classes should be avoided in patients with acute or chronic bronchitis because it will contribute to ventilation-perfusion mismatch in the patient?
Selected
Answer: Anticholinerg
ics
Answers: Xanthines
Antihistimine s
Steroids
Anticholinerg ics
• Question 4
0 out of 1 points
A 47 year old male patient presents to the clinic with a single episode of a moderate amount of bright red rectal bleeding. On examination, external hemorrhoids are noted. How should the nurse practitioner proceed?
Selected
Answer: Instruct the patient on measures to prevent hemorrhoids such as
bowel habits and diet.
Answers: Instruct the patient on measures to prevent hemorrhoids such as
bowel habits and diet.
Order a topical hemorrhoid cream along with a stool softener.
Refer the patient for a barium enema and sigmoidoscopy.
Refer the patient for a surgical hemorrhoidectomy.
• Question 5
0 out of 1 points
Which of the following patient characteristics are associated with chronic bronchitis?
Selected
Answer: Underweight, pink skin, and increased respiratory rate
Answers:
Overweight, cyanosis, and normal or slightly increased respiratory rate
Overweight, pink skin, and normal or slightly increased respiratory rate
Normal weight, cyanosis, and greatly increased respiratory rate
• Question 6
1 out of 1 points
A 65-year-old female with a past medical history of hypertension, hyperlipidemia, and polymyalgia rheumatica presents to urgent care with new onset left lower quadrant pain. Her current medications include omeprazole 20 milligrams po daily, lisinopril 20 milligrams po daily, simvastatin 20 milligrams po daily, and prednisone 12 milligrams po daily. The nurse practitioner suspects acute diverticulitis and possibly an abscess. The most appropriate diagnostic test for this patient at this time is:
Selected
Answer: CT scan
Answers: CBC/diff
Erythrocyte sedimentation rate
Abdominal ultrasound
CT scan
• Question 7
1 out of 1 points
A patient reports “something flew in my eye” about an hour ago while he was splitting logs. If there were a foreign body in his eye, the nurse practitioner would expect to find all except:
Selected
Answer: Purulent drainage
Answers:
Purulent drainage
Tearing
Photophobia
A positive fluorescein stain
A recurrence of chickenpox and treat the patient’s symptoms
• Question 10
0 out of 1 points
Which type of lung cancer has the poorest prognosis?
Selected
Answer: Adenocarcinoma
Answers: Adenocarcinoma
Epidermoid carcinoma
Small cell carcinoma
Large cell carcinoma
• Question 11
1 out of 1 points
An 83-year-old female presents to the office complaining of diarrhea for several days. She explains she has even had fecal incontinence one time. She describes loose stools 3– 4 times a day for several weeks and denies fever, chills, pain, recent antibiotic use. The history suggests that the patient has:
Selected
Answer: Chronic diarrhea
Answers: Acute diarrhea
Chronic diarrhea
Irritable bowel
Functional bowel disease
• Question 12
1 out of 1 points
Margaret, age 32, comes into the office with painful joints and a distinctive rash in a butterfly distribution on her face. The rash has red papules and plaques with a fine scale. What do you suspect?
Answers: An allergic reaction
Relapsing polychondritis
Lymphocytoma cutis
Systemic lupus erythematosus
• Question 13
1 out of 1 points
Antibiotic administration has been demonstrated to be of little benefit to the treatment of which of the following disease processes?
Selected
Answer: Acute bronchitis
Answers: Chronic sinusitis
Acute bronchitis
Bacterial pneumonia
Acute exacerbation of chronic bronchitis
• Question 14
0 out of 1 points
Lisa, age 49, has daily symptoms of asthma. She uses her inhaled short-acting beta- agonist daily. Her exacerbations affect her activities and they occur at least twice weekly and may last for days. She is affected more than once weekly during the night with an exacerbation. Which category of asthma severity is Lisa in?
Selected
Answer: Mild persistent
Answers: Mild
intermittent
Mild persistent
1 out of 1 points
Answer: It is also called whooping cough
Answers:
It is also called whooping cough
It begins with symptoms like strep throat
It lasts about 3 weeks
It occurs most commonly in toddlers and young children
• Question 18
0 out of 1
points
Which of the following is the most important diagnosis to rule out in the adult patient with acute bronchitis?
Selected
Answer: Asthma
Answers:
Pneumo nia
Asthma
Sinusitis
Pertussis
• Question 19
1 out of 1
points
A 70 year old patient presents with left lower quadrant (LLQ) abdominal pain, a markedly tender palpable abdominal wall, fever, and leukocytosis. Of the following terms, which correctly describes the suspected condition?
Diverticulit is
Diverticulu m
• Question 20
1 out of 1 points
Sylvia, age 83, presents with a 3 day history of pain and burning in the left forehead. This morning she noticed a rash with erythematous papules in that site. What do you suspect?
Selected
Answer: Herpes
zoster
Answers: Varicella
Herpes zoster
Syphilis
Rubella
• Question 21
0 out of 1 points
A 33-year-old female is admitted with acute pancreatitis. The nurse practitioner knows that the most common cause of pancreatitis is:
Selected
Answer: Medicatio
ns
Answers: Alcohol
Gallstone s
Medicatio ns
Pregnanc y
• Question 22
1 out of 1 points
0 out of 1 points
A 76-year-old male complains of weight loss, nausea, vomiting, abdominal cramping and pain. Physical findings include an abdominal mass and stool positive for occult blood. The nurse practitioner pain suspects a tumor in the small intestine. The best diagnostic test for this patient is:
Selected
Answer: Colonoscopy
Answers: Colonoscopy
Small bowel follow- through
Barium enema
CT abdomen
• Question 25
1 out of 1 points
A patient presents to urgent care complaining of dyspnea, fatigue, and lower extremity edema. The echocardiogram reveals and ejection fraction of 38%. The nurse practitioner knows that these findings are consistent with:
Selected
Answer: Systolic heart
failure
Answers: Mitral
regurgitation
Systolic heart failure
Cardiac myxoma
Diastolic heart failure
• Question 26
1 out of 1 points
Maxine, Age 76, has just been given a diagnosis of pneumonia. Which of the following is an indication that she should be hospitalized?
Selected
Answer: Multilobar involvement on chest x-ray with the inability to take oral
medications
